What is gynecomastia
Gynecomastia - this is an increase in the chest or
glands in men. True gynecomastia is due to growth
iron fabric (breast fabric), false gynecomastia is associated with
massive fatty sediments in obesity that increase the volume
The main manifestation of gynecomastia is the appearance of a seal in
chest fabrics and its increase. Unlike adipose tissue,
Fiberadipal fabric or tissue formed during gynecomastia has
Gynecomastia may be accompanied by painful sensations when
Dotragivania. Pains are due to rapid growth of iron fabric.
Subsequently pain can decrease and disappear.
What are the causes of gynecomastia
arises as a result of the prevalence in the body of a man of female sex
Gormons. Norma these hormones, as well as men's sex hormones,
formed in a male body. However, their concentration is not great, and they
quickly destroyed in the liver. Meaning in the development of gynecomastia has no
Only an absolute increase in the concentration of estrogen, but also their
Preparation over androgenami. So, gynecomastia may occur as
hyperproductions of female sex hormones and while lowering the level
Male sex hormones, in particular testosterone.
Estrogens in men can synthesize in the testicles. However, this
The reason for the prevalence of estrogen meets not rarely. Most often
Estrogens are synthesized from androgen. It happens in adipose tissue and
liver. Such phenomena occur most often during the development of endocrine
Most often gynecomastia occurs during periods
- In the period of newborn
- With half maturation (from 12 to 15 years)
- In old age (older than 45 years)
Gynecomastia develops due to the use of some
drugs. So, the most common gynecomastics cause corticosteroids, and
Also: Anabolic Steroids, Spironolactone, Flutamide, Cimetidine,
Ranitidine, isoniazide, creams with estrogen, methyloft, metoclopramide,
Reserpine, marijuana, heroin, teofiline, amiodar, nifedipine, verapamil, tricyclic antidepressants, phenothiazides, digitoxine, ketoconazole, diazepam, methodo, phenytoin, metronidazole, captopril, enalapril.
Danger of gynecomastia
Gynecomastia for the most part spontaneously regress, and not
Delivers any serious inconvenience for a man. However
Long existence of gynecomastia increases the risk of cancer
Breast. This disease occurs in men relatively
rarely, but often leads to the same serious consequences as cancer
Breasts in women. Suspicious in relation to milk cancer
glands are such symptoms like bleeding out of the nipple,
The appearance of a dense seal, skin change over education,
The appearance of ulceration, increase the axillary lymph nodes.
How gynecomastia is diagnosed
Usually the diagnosis of gynecomastia is to examine the patient,
clarifying the presence of possible causes of disease development. At
There is no convincing causes analysis of blood for maintenance in
Testosterone serum, estradiol, LH, FSH, prolactin, thyrotropin,
Chorionic gonadotropin, hepatic enzymes, nitrogen, urea,
Creatinina. Radiograph of the chest. With increasing
Testosterone levels and chorionic gonadotropin is held
Ultrasound examination of the testicles, it is possible to conduct a computer
Tomography of adrenal glands.
How is the treatment of gynecomastia
Usually gynecomastia in adolescence regresses spontaneously. WITH
The purpose of suppressing the high concentration of estrogen can be used
Hormonal preparations - Tamoxifen, Clomiphene, Danazole,
If under the action of treatment of inferior glands does not occur,
then there is a need for operational treatment to eliminate
Cosmetic Defect. Executed, as a rule, operational
Intervention under general anesthesia.
With false gynecomastia or true gynecomastia with fat
reborn the patient's glandular fabric can disturb cosmetic
defect. Eliminate the defect is possible only with the help of operational
interventions. The operation includes the removal of breast tissue and how
Rule Liposuction - removal of fat in zones adjacent to intervention.